When caring for a patient who has a seizure, which action best protects the patient?

• A. Place a tongue blade to prevent biting the tongue.
• B. Protect airway and place on side; do not place anything in the mouth.
• C. Restrain the patient manually.
• D. Start suction after seizure ends.

Answer: (B)

Protecting the airway during a seizure is the priority. Placing the patient in a side-lying position helps keep the airway open and allows secretions to drain, which reduces the risk of aspiration as the seizure runs its course. It also makes it easier to monitor breathing and responsiveness while the seizure ends. Avoid anything in the mouth, including a tongue blade, because it can cause injury, airway obstruction, or choking if the jaw clamps down. Restraining the patient and attempting to hold them down can lead to injuries for both the patient and caregiver. Starting suction after the seizure ends is appropriate care, but it doesn’t address protecting the airway during the convulsion itself. After the seizure ends, continue to monitor breathing and provide supportive care as needed.